Individual
DAYVETT ALTAGRACIA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
577 MINNIEFORD AVE APT 1N, BRONX, NY 10464-1137
(347) 302-6704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P102916
NY
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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